Individual provider Active NPI

Alex Williams

  • Mental Health Counselor
  • Newberg, OR
National Provider Identifier
1669970166
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R5113 Issued in OR
Practice address
2855 Hayes St Ste 201
Newberg, OR 97132-1390
Phone
(503) 336-9744
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R5113 OR Primary

Addresses

Primary practice location

2855 Hayes St Ste 201
Newberg, OR 97132-1390

Mailing address

12375 Mount Jefferson Ter Apt 1L
Lake Oswego, OR 97035-8857
Phone (715) 577-3545

Other practice location 1

5319 SW Westgate Dr Ste 113
Portland, OR 97221-2432
Phone (503) 928-6542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R5113ORMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669970166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12375 MOUNT JEFFERSON TER APT 1L",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358857",
            "telephone_number": "715-577-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 HAYES ST STE 201",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321390",
            "telephone_number": "503-336-9744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5319 SW Westgate Dr Ste 113",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972212432",
            "country_code": "US",
            "telephone_number": "503-928-6542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.